Individual
DR. MANDANA FARHADIEH MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PC
Contact information
Practice address
6401 STARGAZE LN STE 106, CHARLOTTE, NC 28269-0802
(704) 591-7196
(704) 464-1818
Mailing address
6401 STARGAZE LN STE 106, CHARLOTTE, NC 28269-0802
(704) 591-7196
(847) 548-9909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
02000068
NC
208000000X
Pediatrics Physician
85692
WI
208000000X
Pediatrics Physician
Primary
MD83399
SC
2080A0000X
Pediatric Adolescent Medicine Physician
036103258
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103258
—
IL
Enumeration date
09/02/2005
Last updated
01/20/2026
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